Publication: Acceptance of Vaginal Birth After Caesarean Section Trial in Shree Birendra Hospital, Kathmandu, Nepal: A Descriptive Cross-sectional Study
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Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Introduction: The rate of primary cesarean section is on the rising trend. Vaginal birth after cesarean section can be an alternative to reduce cesarean section worldwide. Antenatal examination and intrapartum monitoring are the most important factors for a vaginal birth after a cesarean section. This study aims to determine the acceptance of vaginal birth after cesarean section trial in a tertiary care hospital in Nepal.
Methods: This is a descriptive cross-sectional study carried out in Shree Birendra Hospital, Kathmandu, Nepal, from March 2019 to March 2020. All pregnant women with a previous history of cesarean section meeting Royal College of Obstetrics and Gynecology criteria were included. A trial of labor was conducted on the patients who accepted vaginal birth after cesarean section.
Results: A total of 85 cases with previous lower section cesarean section were included in the study. Out of which, 75 (88.2%) refused vaginal birth after cesarean section, and only 10 cases (11.8%) accepted to undergo a trial of labor. Five women (50%) had a successful vaginal birth. Complications were less among the vaginal birth after cesarean section group than the repeat cesarean section group. There was no maternal and neonatal mortality.
Conclusions: The acceptance of vaginal birth after cesarean section is very low in this study. No complications were observed among vaginal birth after cesarean section in our study.
Description
Ratna Khatri
Department of Obstetrics and Gynecology, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal
Arju Chand
Department of Obstetrics and Gynecology, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal
Manish Thapa
Department of Radiology, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal
Sumana Thapa
Department of Obstetrics and Gynecology, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal
Shailaja Khadka
Department of Obstetrics and Gynecology, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal
Keywords
antenatal care, intrapartum, vaginal birth after caesarean section